Ms Lisa Marie Wicklund, LMT - Massage Therapist in Blaine, MN

Ms Lisa Marie Wicklund, LMT is a Massage Therapist based in Blaine, Minnesota. Ms Lisa Marie Wicklund is licensed to practice in Minnesota (license number 17-07455) and her current practice location is 9140 Baltimore St Ne Ste 140-5, Blaine, Minnesota. She can be reached at her office (for appointments etc.) via phone at (612) 481-9718.

NPI number for Ms Lisa Marie Wicklund is 1609304476 and her current mailing address is 9140 Baltimore St Ne Ste 140-5, Blaine, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609304476.

Contact Information

Ms Lisa Marie Wicklund, LMT
9140 Baltimore St Ne Ste 140-5,
Blaine, MN 55449-4382
(612) 481-9718
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMs Lisa Marie Wicklund
GenderFemale
SpecialityMassage Therapist
Location9140 Baltimore St Ne Ste 140-5, Blaine, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1609304476
  • Provider Enumeration Date: 05/24/2017
  • Last Update Date: 07/21/2022

Medical Identifiers

Medical identifiers for Ms Lisa Marie Wicklund such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609304476NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225700000XMassage Therapist 17-07455 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Lisa Marie Wicklund is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Lisa Marie Wicklund, LMT
9140 Baltimore St Ne Ste 140-5,
Blaine, MN 55449-4382

Ph: (612) 481-9718
Ms Lisa Marie Wicklund, LMT
9140 Baltimore St Ne Ste 140-5,
Blaine, MN 55449-4382

Ph: (612) 481-9718

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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